Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,786.30 / $8,317.64	Facility		$1,047.13	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $602.56	Professional		$204.17	$234.42	$602.56
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $346.74	Professional		$190.55	$323.59	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $457.09	Professional		$213.80	$281.84	$457.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $389.05	Professional		$229.09	$302.00	$389.05
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $416.87	Professional		$194.98	$263.03	$416.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,801.89 / $8,317.64	Facility		$954.99	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $758.58	Professional		$208.93	$309.03	$758.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $457.09	Facility		$354.81	$354.81	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $323.59 / $489.78	Professional		$309.03	$323.59	$489.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $239.88 / $478.63	Facility		$91.20	$239.88	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $239.88 / $478.63	Professional		$91.20	$239.88	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $645.65 / $4,265.80	Facility		$144.54	$645.65	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $436.52	Professional		$194.98	$269.15	$436.52